Proximal humerus fracture3/13/2023 ![]() ![]() Our results suggest that there is a substantial mortality in patients with a proximal humerus fracture, as we have previously reported, and that surviving patients frequently have persistent symptoms that can be predicted as early as after 1 year. The 1-year examination had been able to predict the long-term results with 71% sensitivity for protracted pain and 88% sensitivity for persistent shoulder dysfunction. Shoulders with a displaced fracture and also injured shoulders of patients with a chronic disease were significantly worse at the long-term follow-up. The remaining 5 patients in the symptomatic group had no shoulder pain but had reduced shoulder function. In 26 patients with shoulder symptoms, 11 had severe pain and 10 had moderate pain, and only 2 of these 21 patients had normal shoulder function. In the final follow-up group, all patients except 1 were treated nonoperatively.Ģ1 patients had asymptomatic, pain-free shoulders. Their incidence is low under the age of 40 and rises almost exponentially with age. The Constant-Murley score (CM-score) was used in the clinical assessment. Proximal humerus fractures account for 5 of all fractures of the appendicular skeleton. 158 patients had died by the year 2000 and 47 of the surviving patients were available for clinical and radiographic evaluation. So, if you have a proximal humerus fracture, your upper arm bone is broken near its top the end that connects to your shoulder. The proximal end of your humerus is the top. The aim of this investigation was to follow an unselected group of patients prospectively and assess the long-term results in relation to fracture type and health, and to evaluate the possibility of predicting the long-term results after 1 year.Ģ58 consecutive urban patients who sustained a proximal humerus fracture in 1987 were followed prospectively and examined after 1 and 13 years. Location (proximal and distal): Proximal and distal are words that describe where a fracture is located along your bone’s length. Earlier reports of results after proximal humerus fractures have often been short- or medium-term studies.
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